| NPI | 1275590960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 204915-4405) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: UT 204915-4402) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |